Healthcare Provider Details

I. General information

NPI: 1114966066
Provider Name (Legal Business Name): UPPER ADAMS SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 N MAIN ST
BIGLERVILLE PA
17307-9228
US

IV. Provider business mailing address

161 N MAIN ST PO BOX 847
BIGLERVILLE PA
17307-9228
US

V. Phone/Fax

Practice location:
  • Phone: 717-677-7191
  • Fax: 717-677-9807
Mailing address:
  • Phone: 717-677-7191
  • Fax: 717-677-9807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StatePA

VIII. Authorized Official

Name: MR. MICHAEL J LAWRENCE
Title or Position: BUSINESS ADMINISTRATOR/BOARD SEC.
Credential: B.S. PRSBO
Phone: 717-677-7191